NPI | 1720757198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209023626) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 209.023626) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2024-10-15 |